2nd Annual WHI Hobbs 5K
Fun Run & Walk
In Memory of Dr. Jerry McLaughlin
Proceeds to go to WHI Hobbs Backpack Program
Date: Saturday, September 9, 2017
Place: Green Meadows Park
Race Time: 7:30 AM
Start Time 8:30 AM
Race Fees: 12 - Adult: $30 * Children 6-11: $10 * Children 5 – under: FREE
Registered by August 25th receive an Event T-shirt
Each participant must fill out a separate registration form
Mail registration forms & payment to: WHI Hobbs
4008 N. Grimes Box 275
Hobbs, NM 88240
For more information, find us on Facebook or call Leslie @ 575-441-2732 or Becca @ 575-631-2985
Name: ______
Team name (optional): ______
Address: ______
Phone #: ______Email address: ______
Age: ______Sex: Male Female
Shirt Size: Youth S M L or Adult S M L XL XXL
Waiver & Release Statement
(Must be signed by participant or parent/guardian if participant is a minor)
I will not enter and participate unless I am medically able. I assume all risks from participating in this event including, but not limited to: falls; contact with other participants; effects of the weather, including high heat, humidity, precipitation, traffic and the conditions of the road; all such risks being known and appreciated by me. Having read this waiver and knowing these facts I, for myself and anyone entitled to act on my behalf, waive and release race officials, volunteers, sponsors and their respective affiliates, subsidiaries, principals, directors, agents, officers, employees or contractors of and from all claims, liabilities or causes of action of any kind arising out of my participation in this event which I or my successors, assigns or heirs may ever have now or in the future against any of them. This release and waiver extends to all claims of every kind and nature whatsoever. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any lawful purpose. Applications for minors will be accepted only with a parent's signature and all children participating in the 5K race under the age of 10 must be accompanied by an adult during the entire race.
Signed:______Date:______